PATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2
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1 JAN FEB MAR n=123 n=113 n=119 PATIENT SATISFACTION REPORT HCAHPS 1 - Inpatient Adult Units MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS CHECK ON YOU HOURLY DURING THE DAY n = 823 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
2 Note Topic Definition 1 HCAHPS Hospital Consumer Assessment of Healthcare Providers and Systems. A national, standardized, publicly reported survey of patients perspectives of hospital care. HCAHPS allows valid comparisons to be made across hospitals locally, regionally, and nationally. 2 Data Delay 3 Benchmarking 5 Baseline Domain Scores Data for HCAHPS reports lag weeks from report date to allow surveys to be returned. CMS does not count surveys returned > weeks from the patients discharge. The PG All Database percentile rank provides a comparison of performance relative to other participants in the Press Ganey database. The Baseline Period is a designated time span used to capture data against which the current period is compared. FY1 is comprised of the months July June 201; is comprised of July end of month reported. Note there was a lapse in HCAHPS survey results from Press Ganey for discharges between October 2015 and February 201. Domain scores are calculated by summing the responses to two or three questions regarding each patient's experience. Hourly Rounding A custom question was added to the inpatient survey 11/201 asking if a member of the patient care team checked on the respondent hourly through the day. This is a percentage of those that responded "yes". * 12-month Sparkline graphs demonstrate monthly trend of % Top Box for the most recent 12-months. Breaks in the graph indicate a period of n=0.
3 JAN FEB MAR n=21 n=13 n=18 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 3 Neuro MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 118 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
4 JAN FEB MAR n=1 n=14 n=12 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 4 South Surgical MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 83 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
5 JAN FEB MAR n=21 n=20 n=13 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 4 West Ortho/Trauma MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 112 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
6 JAN FEB MAR n=2 n=2 n=1 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 5 BMT MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 15 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
7 JAN FEB MAR n=9 n=8 n=1 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 5 North Oncology MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
8 JAN FEB MAR n=5 n= n= PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 5 West Medicine MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 54 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
9 JAN FEB MAR n=1 n=1 n=1 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: North Telemetry MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 11 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
10 JAN FEB MAR n= n=2 n= PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: North Transplant MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 34 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
11 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: Med (includes S & 5CAD) MARCH DATA - Final Report 2 JAN FEB MAR n=13 n=13 n=11 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 81 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
12 JAN FEB MAR n= n=5 n=9 PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: Perinatal MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 41 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
13 JAN FEB MAR n=4 n=4 n= PATIENT SATISFACTION REPORT HCAHPS 1 for discharge unit: 8 South Medicine MARCH DATA - Final Report 2 MONTHLY % Top Box FY % Top Box FY %ile Rank 3 12-month* % Top Box Trend FY1 5 FY RATE HOSPITAL Goal RECOMMEND THE HOSPITAL COMMUNICATION WITH NURSES RESPONSIVENESS OF HOSPITAL STAFF COMMUNICATION WITH DOCTORS HOSPITAL ENVIRONMENT Cleanliness of the Hospital Environment Quietness of the Hospital Environment PAIN MANAGEMENT COMMUNICATION ABOUT MEDICATIONS DISCHARGE INFORMATION CARE TRANSITIONS Check on you hourly during the day n = 48 Data Generated : 5/1/201 Discharge Date Range : 0/01/201 To 03/31/201 PG Benchmark Period : 01/01/201 To 03/31/201
14 % Top Box Responses BETTER 5 HCAHPS Overall Rating AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 2% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=3) FY1 (n=458) (n=818) (n=83) (n=4) (n=8) (n=48) (n=80) (n=51) (n=2) (n=104) (n=94) (n=122) (n=113) (n=11)
15 % Top Box Responses BETTER HCAHPS Would Recommend AU Health Adult Inpatient Units 12-month Trend with Comparison Years 8.0 * benchmark based on 2Q15-1Q1 data published December th %ile benchmark = 2% Top Box * FY15 (n=3) FY1 (n=458) (n=809) (n=82) (n=5) (n=85) (n=49) (n=8) (n=50) (n=2) (n=102) (n=90) (n=120) (n=113) (n=118)
16 % Top Box Responses BETTER HCAHPS Communication With Nurses AU Health Adult Inpatient Units 12-month Trend with Comparison Years * benchmark based on 2Q15-1Q1 data published December th %ile benchmark = 80% Top Box * FY15 (n=38) FY1 (n=42) (n=823) (n=83) (n=5) (n=8) (n=50) (n=80) (n=51) (n=2) (n=105) (n=93) (n=123) (n=113) (n=119)
17 % Top Box Responses BETTER 5 HCAHPS Responsiveness of Staff AU Health Adult Inpatient Units 12-month Trend with Comparison Years * benchmark based on 2Q15-1Q1 data published December th %ile benchmark = 8% Top Box * FY15 (n=582) FY1 (n=431) (n=51) (n=4) (n=9) (n=82) (n=4) (n=2) (n=49) (n=54) (n=9) (n=84) (n=118) (n=105) (n=101)
18 % Top Box Responses BETTER 90 HCAHPS Communication With Doctors AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 81% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=3) FY1 (n=42) (n=821) (n=83) (n=5) (n=8) (n=50) (n=81) (n=51) (n=1) (n=104) (n=92) (n=123) (n=113) (n=119)
19 % Top Box Responses BETTER 85 HCAHPS Cleanliness of Hospital AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 3% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=38) FY1 (n=45) (n=813) (n=83) (n=3) (n=84) (n=4) (n=9) (n=49) (n=2) (n=104) (n=93) (n=121) (n=112) (n=119)
20 % Top Box Responses BETTER 80 HCAHPS Quietness of Hospital AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 2% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=30) FY1 (n=458) (n=808) (n=81) (n=5) (n=84) (n=49) (n=80) (n=51) (n=1) (n=103) (n=92) (n=120) (n=108) (n=11)
21 % Top Box Responses BETTER 80 HCAHPS Pain Management AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 1% Top Box * FY15 (n=501) FY1 (n=33) (n=33) (n=2) (n=2) (n=8) (n=39) (n=2) (n=3) (n=43) (n=90) * benchmark based on 2Q15-1Q1 data published December (n=) (n=9) (n=88) (n=92)
22 % Top Box Responses BETTER 5 HCAHPS Communication About Medicine AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 4% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=39) FY1 (n=28) (n=510) (n=45) (n=41) (n=2) (n=32) (n=4) (n=3) (n=40) (n=) (n=48) (n=9) (n=0) (n=)
23 % Top Box Responses BETTER 100 HCAHPS Discharge Information AU Health Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 8% Top Box * FY15 (n=53) FY1 (n=411) (n=13) (n=1) (n=5) (n=83) (n=45) (n=5) (n=41) (n=50) (n=9) * benchmark based on 2Q15-1Q1 data published December (n=84) (n=108) (n=103) (n=102)
24 % Top Box Responses BETTER 0 HCAHPS Care Transition AU Adult Inpatient Units 12-month Trend with Comparison Years th %ile benchmark = 52% Top Box * * benchmark based on 2Q15-1Q1 data published December FY15 (n=3) FY1 (n=43) (n=819) (n=82) (n=5) (n=8) (n=50) (n=80) (n=50) (n=0) (n=105) (n=94) (n=123) (n=112) (n=118)
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